When assessing an infant for a possible ear infection, which of the following behaviors would the nurse note? Select all that apply.
- A. Change in behavior
- B. Nasal drainage
- C. Irritability
- D. Ear tugging
- E. Fever
Correct Answer: A,C,D,E
Rationale: When assessing the infant, the nurse would look for ear tugging, change in behavior, crying, fussing or irritability, or fever.
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A client is diagnosed with a bacterial ocular infection. Which of the following would the nurse most likely administer if prescribed? Select all that apply.
- A. Brimonidine (Alphagan)
- B. Gatifloxacin (Zymar)
- C. Tobramycin (TobraDex)
- D. Betaxolol (Betoptic)
- E. Natamycin (Natacyn)
Correct Answer: B,C
Rationale: Gatifloxacin (Zymar) and tobramycin (TobraDex) are antibiotic ophthalmic preparations used to treat bacterial infections.
A nurse is teaching a client who is prescribed eye drops as treatment for glaucoma. The nurse emphasizes the importance of therapy to reduce intraocular pressure to prevent which of the following? Select all that apply.
- A. Nerve damage
- B. Headache
- C. Visual loss
- D. Blindness
- E. Corneal tears
Correct Answer: A,C,D
Rationale: Increased intraocular pressure can lead to optic nerve damage, visual loss, and blindness.
A client would like to use carbamide peroxide (Debrox) to remove cerumen from the ears and asks the nurse if this is okay. In which of the following situations should this drug not be used? Select all that apply.
- A. Before ear surgery
- B. Perforated eardrum
- C. Congestion
- D. Ear drainage
- E. Dizziness
Correct Answer: B,D
Rationale: Drugs like Debrox (carbamide peroxide), used to remove cerumen, are not used if ear discharge, drainage, pain, or irritation is present, if the eardrum is perforated; or after ear surgery.
After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the group identifies which of the following preparations as being used to aid in the removal of cerumen? Select all that apply.
- A. Cipro HC otic
- B. Floxin otic
- C. Debrox
- D. Acetasol HC
- E. Cerumenex
Correct Answer: C,E
Rationale: Carbamide peroxide (Debrox) and triethanolamine polypeptide (Cerumenex) are otic preparations used to aid in the removal of cerumen.
A nurse is preparing to administer Auralgan Otic drops, which contain benzocaine, antipyrine, and glycerin. The nurse understands that these drops provide which type of action? Select all that apply.
- A. Antifungal
- B. Corticosteroid
- C. Emollient
- D. Analgesic
- E. Local anesthetic
Correct Answer: C,D,E
Rationale: Auralgan Otic contains a local anesthetic (benzocaine), an emollient (glycerin), and an analgesic (antipyrine).
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